Jay C Belt, DO
Individual provider Active NPI Family Medicine Physician · Anadarko, OK
NPI 1215918792 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1215918792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2007 (OK)
- Practice address
- 1104 E Central Blvd
Anadarko, OK 73005-4400 - Phone
- (405) 247-6685
- Fax
- (405) 247-2043
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southern Plains Medical Center Inc
Practice addresses (Care Compare)
2222 W Iowa Ave
Carefirst Wellness Assoc
Chickasha, OK 73018-2738
Phone (405) 224-8111
Hospital & facility affiliations
- Elara Caring IV
- Lifeline Home Health Care, Inc
- Grady Memorial Hospital
- The Physicians' Hospital in Anadarko
- O U Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091211000663 | OK | Practitioner - Family Practice | 4486735164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current |
Accepting new patients | |
| Southern Plains Medical Center Inc | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Lawton Urology | Past | Accepting new patients |
Locations
1104 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-6685
2222 W Iowa Ave
Chickasha, OK 73018
13709 S Santa Fe Ave
Ste B
Oklahoma City, OK 73170
Phone (405) 794-4474
101 N Carter St
Ste 300
Pauls Valley, OK 73075
Phone (405) 331-5128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2007 | OK | Yes |
Addresses
Primary practice location
1104 E Central Blvd
Anadarko, OK 73005-4400
Mailing address
1370 N Interstate Dr
Suite 154
Norman, OK 73072-3376
Phone (405) 247-6685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089030A | Medicaid | OK |
Other providers in Anadarko, OK
- Corwin John Ataddlety
- Francis Attocknie III
- Rose H. Autaubo
- Mario Luis Avila
- Jordan Taylor Bearshield
- Carmen B Bird Pico
- Black Beaver Medical Supply LLC
- Wesley H Boothe
- Mickey Sue Bottom
- Donald Thomas Brock
All providers in Anadarko, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.